Provider Demographics
NPI:1508642596
Name:HENDRIX, PRISCILLA ANN
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:ANN
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 MOUNT CARMEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9763
Mailing Address - Country:US
Mailing Address - Phone:828-785-2711
Mailing Address - Fax:
Practice Address - Street 1:91 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-9763
Practice Address - Country:US
Practice Address - Phone:828-785-2711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach